2.1 - TBI Pathophysiology - Intro to TBI Assessment Flashcards

1
Q

Are TBI symptoms in children similar to those in adults?

A

Yes

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2
Q

Is the functional impact of TBI in children similar to that in adults?

A

No

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3
Q

Does research show that children recover better from TBI due to the greater “plasticity” of their younger brains?

A

No

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4
Q

In what population does TBI of similar severity have a greater impact: children or adults?

A

Children

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5
Q

Are Cognitive Impairments in children with TBI always immediately obvious after the injury?

Why or why not? (2)

A

No

They can become apparent as the child gets older and faces

There is increased cognition + new learning and more complex social behavior + expectations

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6
Q

What issues can children with TBI face when they return to school?

(3)

A

Educational and emotional needs are very different than before the
injury.

Their disability was sudden/traumatic. They remember how they were pre-morbidly.

Family, friends and teachers recall what the child was like before the injury

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7
Q

What are two important issues for young adults with TBI at the college level?

A

College may be considered by some an “unrealistic expectation”

Many colleges offer resources to assist college students with TBI

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8
Q

What 10 Physical Impairments may arise due to TBI?

A

Speech

Vision

Hearing

Headaches

Motor Coordination

Spasticity of Muscles

Paresis/Paralysis

Seizure Disorders

Balance

Fatigue

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9
Q

What 10 Cognitive Impairments may arise due to TBI?

A

ST Memory Deficits

Impaired Concentration

Slowness of Thinking

Limited Attention Span

Impairments of Perception

Communication Skills

Planning

Writing

Reading

Judgement

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10
Q

What 10 Emotional Impairments may arise due to TBI?

A

Mood Swings

Denial

Self-Centeredness

Anxiety

Depression

Lowered Self-Esteem

Sexual Dysfunction

Restlessness

Lack of Motivation

Difficulty Controlling Emotions

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11
Q

What is a concussion?

2

A

Trauma that causes a change in mental status

May or may not involve a loss of consciousness

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12
Q

What is a Grade 1 Concussion?

A

Person is confused but

remains conscious

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13
Q

What are the Signs of a Grade 1 Concussion?

3

A

Temporary confusion (dazed)

Unable to think clearly

Trouble following directions

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14
Q

How long does a Grade 1 Concussion last?

A

Symptoms clear within 15 minutes

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15
Q

What is a Grade 2 Concussion?

A

Person remains conscious, but develops amnesia

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16
Q

What are the Signs of a Grade 2 Concussion?

3

A

Temporarily confusion (dazed)

Unable to think clearly

Trouble following directions

17
Q

How long does a Grade 2 Concussion last?

A

Symptoms last MORE than 15 minutes

18
Q

What is a Grade 3 Concussion?

A

Person loses consciousness

19
Q

What are the Signs of a Grade 3 Concussion?

A

Noticeable disruption

of brain function exhibited in physical, cognitive and behavioral ways.

20
Q

How long does a Grade 3 Concussion last?

A

Unconsciousness for seconds or minutes

21
Q

What other diagnosis does a Grade 3 Concussion overlap with?

A

mTBI

22
Q

What is Post-Concussive Syndrome?

3

A

Acquired cognitive impairment

Due to severe closed head injury causing a significant concussion

Accompanied by specific neurobehavioral symptoms

23
Q

What 8 symptoms are seen with Post-Concussive Syndrome according to the DSM IV?

A

Easily fatigued

Disordered sleep

Headache

Vertigo or dizziness

Irritability or aggression on little or no provocation

Anxiety, depression or affective lability

Changes in personality

Apathy or lack of spontaneity

24
Q

What is a TBI Model System of Continuum of Care?

4

A

Acute Care

Rehabilitation Services

Outpatient/Day Services

Independent/Supported Living

25
Q

What is a Level 1 Trauma Center?

A

24-hour in-house coverage by general surgeons, orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care.

Referral resource for communities in nearby regions.

Incorporates a comprehensive quality assessment program.

Meets minimum requirement for annual volume of severely injured patients.